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1023214087
TERESA LEE GORE
ANNAPOLIS, MD
NPI
1023214087
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Former Name
THERESA LEE MCDONALD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0001196)
Enumeration Date
2007-06-26
Last Update Date
2012-11-26
Business Address
-- TERESA LEE GORE PA-C
2114 GENERALS HWY
ANNAPOLIS, MD 21401-6723
Phone number: 410-721-0311
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Mailing Address
-- TERESA LEE GORE PA-C
31F QUEEN ANNE WAY
CHESTER, MD 21619-2531
Phone number: 410-739-9026
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